Keystone Orthopedics S.C.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

01036580A Issued in IN

Legal business name

KEYSTONE ORTHOPEDICS S.C.

Practice address

801 Macarthur Blvd
Suite 304
Munster, IN 46321-2915

Phone

(219) 836-4123

Fax

(219) 836-0276

NPI assigned

Mar 21, 2008

Last updated

Mar 21, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. John P Hertel

Title

Operations Manager

Phone

(708) 799-1144

Specialties & licenses 1

Addresses

Tax ID family

Keystone Orthopedic Specialists2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Michael J. Hartman, MD

  dba Keystone Orthopedic Specialists

  • Orthopaedic Surgery of the Spine Physician
  • Munster, IN
  • NPI 1437349495
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Martin R Hall, MD

  • Orthopaedic Surgery Physician
  • Hazel Crest, IL
  • NPI 1205898194
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1206057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206057600000",
    "number": "1447421086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 W 177TH ST",
            "address_2": "SUITE 2C",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604292184",
            "telephone_number": "708-799-1144",
            "fax_number": "708-799-4899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 MACARTHUR BLVD",
            "address_2": "SUITE 304",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212915",
            "telephone_number": "219-836-4123",
            "fax_number": "219-836-0276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE ORTHOPEDICS S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-21",
        "last_updated": "2008-03-21",
        "status": "A",
        "authorized_official_last_name": "HERTEL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "708-799-1144",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "IN",
            "license": "01036580A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Louise Keon
• Mohan KB Kesani, M.D.
• Kumphas Kev
• Mark F. Kevin, M.D.
• Corpia Chantle Keyes, M.D.
• Suhail H Khadra, MD
• Danielle Megan Khalife, PA-C
• Amir Ali Khan, M.D.
• Desiree Khan, FNP
• Mohsen R Khan, DO

• Orthopaedic Surgery Physician in Munster, IN
• Providers in Munster, IN by specialty
• Orthopaedic Surgery Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.